Therapists in Saint Peters, MO

Photo of Tessa Michaud, Clinical Social Work/Therapist in Saint Peters, MO
Tessa Michaud
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Peters, MO 63304  (Online Only)
Waitlist for new clients
I enjoy working with children of all ages, adults, and families in an effort to help others identify and build on current strengths and promote positive change where desired. My experience, training, and years of ongoing supervision enables me to offer you effective, quality, individualized care.
I enjoy working with children of all ages, adults, and families in an effort to help others identify and build on current strengths and promote positive change where desired. My experience, training, and years of ongoing supervision enables me to offer you effective, quality, individualized care.
(314) 582-4631 View (314) 582-4631
Photo of Alternative Behavioral Care, Clinical Social Work/Therapist in Saint Peters, MO
Alternative Behavioral Care
Clinical Social Work/Therapist, LMSW
Not Verified Not Verified
2 Endorsed
Saint Peters, MO 63376  (Online Only)
Waitlist for new clients
Joan Rabushka LMSW earned her Bachelor's degree in Social Work from Lindenwood University and her Master's degree in Social Work from the University of Southern California in 2017. Joan specializes in eating disorders. Joan's practice focuses on treating clinical issues including: eating disorders, substance abuse, anxiety, depression. Joan works with individuals and groups. She leads the Eating Disorder Outpatient group. Joan draws from many different treatment approaches. Joan believes in meeting clients where they are at, and by using a strengths-based approach, this allows the client to gain empowerment and self-determination.
Joan Rabushka LMSW earned her Bachelor's degree in Social Work from Lindenwood University and her Master's degree in Social Work from the University of Southern California in 2017. Joan specializes in eating disorders. Joan's practice focuses on treating clinical issues including: eating disorders, substance abuse, anxiety, depression. Joan works with individuals and groups. She leads the Eating Disorder Outpatient group. Joan draws from many different treatment approaches. Joan believes in meeting clients where they are at, and by using a strengths-based approach, this allows the client to gain empowerment and self-determination.
(636) 303-1731 x17 View (636) 303-1731 x17
Photo of Rashonda Thornton, Counselor in Saint Peters, MO
Rashonda Thornton
Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Life can bring unexpected events resulting in a change in how you view the world. Rather you are experiencing, relationship stressors, hopelessness, anxiety, regret, resentment, feeling stuck or grief. I am passionate to collaborate with you to achieve family and individual success.
Life can bring unexpected events resulting in a change in how you view the world. Rather you are experiencing, relationship stressors, hopelessness, anxiety, regret, resentment, feeling stuck or grief. I am passionate to collaborate with you to achieve family and individual success.
(636) 244-6230 View (636) 244-6230
Photo of Liza Kebel, Licensed Professional Counselor in Saint Peters, MO
Liza Kebel
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Liza Kebel-Spielman, MA, LPC is a Licensed Professional Counselor specializing in working with children, adolescents, and adults with a variety of different issues such as suicide, homicide, depression, anxiety, substance abuse, bullying, anger, relationships, physical and mental abuse, and issues within the family unit. Liza uses different counseling approaches during sessions such as Motivational Interviewing, Cognitive Behavioral Therapy, and Solution Focused Brief Therapy.
Liza Kebel-Spielman, MA, LPC is a Licensed Professional Counselor specializing in working with children, adolescents, and adults with a variety of different issues such as suicide, homicide, depression, anxiety, substance abuse, bullying, anger, relationships, physical and mental abuse, and issues within the family unit. Liza uses different counseling approaches during sessions such as Motivational Interviewing, Cognitive Behavioral Therapy, and Solution Focused Brief Therapy.
(636) 339-3687 View (636) 339-3687
Photo of Keith Weaver, Clinical Social Work/Therapist in Saint Peters, MO
Keith Weaver
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
I am dedicated to helping people improve their lives, achieve more of a meaningful life, and realize their inherent potential and highest goals. I am a Licensed Clinical Social Worker in the State of Missouri. I primarily work with young adults who are struggling with depression, anxiety, career issues, relationship and marriage problems, and other life challenges. I also work with a lot of business professionals working with balancing careers and businesses. I am an empathetic and compassionate counselor, that works to motivate clients to work on their improvement.
I am dedicated to helping people improve their lives, achieve more of a meaningful life, and realize their inherent potential and highest goals. I am a Licensed Clinical Social Worker in the State of Missouri. I primarily work with young adults who are struggling with depression, anxiety, career issues, relationship and marriage problems, and other life challenges. I also work with a lot of business professionals working with balancing careers and businesses. I am an empathetic and compassionate counselor, that works to motivate clients to work on their improvement.
(636) 306-1203 View (636) 306-1203
Photo of Deborah Vail, Licensed Professional Counselor in Saint Peters, MO
Deborah Vail
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Saint Peters, MO 63376
Waitlist for new clients
Everyday life isn’t supposed to feel quite this hard or overwhelming, right? Maybe you wish you could manage your emotions or stress better. Perhaps something awful or painful happened that has you wondering if you'll ever feel "normal" or well again. Hi, my name is Deborah and I have the honor of empowering people on their courageous journeys to find ease and joy in living again. Join me in a safe and affirming space to gain insight on the origins of your struggles and find lasting healing. I offer in-person sessions in my O'Fallon office, or online telehealth sessions.
Everyday life isn’t supposed to feel quite this hard or overwhelming, right? Maybe you wish you could manage your emotions or stress better. Perhaps something awful or painful happened that has you wondering if you'll ever feel "normal" or well again. Hi, my name is Deborah and I have the honor of empowering people on their courageous journeys to find ease and joy in living again. Join me in a safe and affirming space to gain insight on the origins of your struggles and find lasting healing. I offer in-person sessions in my O'Fallon office, or online telehealth sessions.
(636) 626-4300 View (636) 626-4300
Photo of Audra Bell, Clinical Social Work/Therapist in Saint Peters, MO
Audra Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
My name is Audra Bell and I am a Psychotherapist certified as a Licensed Clinical Social Worker (LCSW). I work with clients throughout Missouri via telehealth. I work with adults experiencing anxiety, depression, or other life stressors using Cognitive Behavioral Therapy (CBT) and Family Systems Theory. I find it most helpful to start where the client feels comfortable and work right away towards helping clients find progress and relief quickly.
My name is Audra Bell and I am a Psychotherapist certified as a Licensed Clinical Social Worker (LCSW). I work with clients throughout Missouri via telehealth. I work with adults experiencing anxiety, depression, or other life stressors using Cognitive Behavioral Therapy (CBT) and Family Systems Theory. I find it most helpful to start where the client feels comfortable and work right away towards helping clients find progress and relief quickly.
(636) 303-1667 View (636) 303-1667
Photo of Cozy Chair Counseling - Anna Kisting, Licensed Professional Counselor in Saint Peters, MO
Cozy Chair Counseling - Anna Kisting
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
How amazing would it feel to be totally accepted and unconditionally supported, where YOUR needs are the priority? You're likely here searching for someone who will truly understand you, who knows how to help you with whatever is hurting right now. Does your past make today harder? Are you feeling frustrated and disconnected within your relationships? Do you wake up every day feeling discouraged or stuck? Or struggle to fall asleep because your brain can't stop worrying? We're a group of knowledgeable, compassionate clinicians who are invested in figuring this all out WITH you. Let us help you. We can tackle these things together.
How amazing would it feel to be totally accepted and unconditionally supported, where YOUR needs are the priority? You're likely here searching for someone who will truly understand you, who knows how to help you with whatever is hurting right now. Does your past make today harder? Are you feeling frustrated and disconnected within your relationships? Do you wake up every day feeling discouraged or stuck? Or struggle to fall asleep because your brain can't stop worrying? We're a group of knowledgeable, compassionate clinicians who are invested in figuring this all out WITH you. Let us help you. We can tackle these things together.
(636) 205-1278 View (636) 205-1278
Photo of Stephenie Combs, Licensed Professional Counselor in Saint Peters, MO
Stephenie Combs
Licensed Professional Counselor, MA, LPC, BC-TMH
Verified Verified
5 Endorsed
Saint Peters, MO 63376
Currently accepting new clients! I work with individual adults, couples, and families. Over the last 15 years, I have had the opportunity to work with people dealing with a variety of struggles including: anxiety, trauma, grief, life transitions, depression, stress management, women's issues, parenting education, spiritual matters, relationship/communication struggles, etc. I work hard to walk through these issues alongside my clients and provide the support they need. While I can’t fix their struggles, I can listen to them and help point them in the right direction with a challenge of a new perspective and hope for their future.
Currently accepting new clients! I work with individual adults, couples, and families. Over the last 15 years, I have had the opportunity to work with people dealing with a variety of struggles including: anxiety, trauma, grief, life transitions, depression, stress management, women's issues, parenting education, spiritual matters, relationship/communication struggles, etc. I work hard to walk through these issues alongside my clients and provide the support they need. While I can’t fix their struggles, I can listen to them and help point them in the right direction with a challenge of a new perspective and hope for their future.
(314) 714-4086 View (314) 714-4086
Photo of Alex Werner, Licensed Professional Counselor in Saint Peters, MO
Alex Werner
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Peters, MO 63303
Hello and welcome. For nearly 10 years I have been in practice and have worked in a variety of settings. During this time I have had the privilege of working with some incredible people and have learned a lot about myself and the process of counseling when it comes to relationships with others and the relationship we have with ourselves. If you are searching for a provider who can effectively address issues within a marriage, family, or any other form of relationship than I would be happy to speak with you!
Hello and welcome. For nearly 10 years I have been in practice and have worked in a variety of settings. During this time I have had the privilege of working with some incredible people and have learned a lot about myself and the process of counseling when it comes to relationships with others and the relationship we have with ourselves. If you are searching for a provider who can effectively address issues within a marriage, family, or any other form of relationship than I would be happy to speak with you!
(314) 697-2475 View (314) 697-2475
Photo of Terry G Blanton, Clinical Social Work/Therapist in Saint Peters, MO
Terry G Blanton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Are you feeling lonely, down, and/or anxious? Not sure what you are feeling? Do you have a child or a teen who is lost and needs help with bullying, trauma, self esteem, or aggression? Did you experience abuse or trauma, or need to share a challenge you are going through? Counseling or therapy is a safe environment in which one can feel heard and come together with a neutral person, and form a therapeutic alliance. I am very compassionate, non judgmental, empathic, and easy to talk to. Counseling is all about the therapeutic relationship and feeling you are an equal in this partnership.
Are you feeling lonely, down, and/or anxious? Not sure what you are feeling? Do you have a child or a teen who is lost and needs help with bullying, trauma, self esteem, or aggression? Did you experience abuse or trauma, or need to share a challenge you are going through? Counseling or therapy is a safe environment in which one can feel heard and come together with a neutral person, and form a therapeutic alliance. I am very compassionate, non judgmental, empathic, and easy to talk to. Counseling is all about the therapeutic relationship and feeling you are an equal in this partnership.
(636) 481-5917 View (636) 481-5917
Photo of Brittany Taussig in Saint Peters, MO
Brittany Taussig
MAT, BCBA
Verified Verified
Saint Peters, MO 63376
I love working with children and families as they address significant social, emotional and behavior concerns. I seek to help parents or caregivers understand that their child's behavior is trying to communicate something, and together we figure out what the unmet need is and how to provide support and meet the child's needs in alternative ways. I also partner with the child to help them learn how to communicate their wants and needs in safe and appropriate ways by teaching them alternative replacement behaviors instead!
I love working with children and families as they address significant social, emotional and behavior concerns. I seek to help parents or caregivers understand that their child's behavior is trying to communicate something, and together we figure out what the unmet need is and how to provide support and meet the child's needs in alternative ways. I also partner with the child to help them learn how to communicate their wants and needs in safe and appropriate ways by teaching them alternative replacement behaviors instead!
(636) 733-6152 View (636) 733-6152
Photo of Holly Jacobs, Licensed Professional Counselor in Saint Peters, MO
Holly Jacobs
Licensed Professional Counselor, MA, PLPC
Verified Verified
Saint Peters, MO 63376
There are times when all of us need to talk. We really need another person to just truly listen and hear what we have to share. I am so glad that you are taking that first step in researching therapists, and I’d like to assist you in your journey of life. My name is Holly Jacobs and, I am a Provisionally Licensed Professional Counselor in the state of Missouri operating under the Supervision of Dr. Brenda Bryant. My areas of emphasis include, individual, couples, adolescent and teens counseling, and I believe in an integrated, person-centered approach to counseling, delivered in a safe and judgment-free environment.
There are times when all of us need to talk. We really need another person to just truly listen and hear what we have to share. I am so glad that you are taking that first step in researching therapists, and I’d like to assist you in your journey of life. My name is Holly Jacobs and, I am a Provisionally Licensed Professional Counselor in the state of Missouri operating under the Supervision of Dr. Brenda Bryant. My areas of emphasis include, individual, couples, adolescent and teens counseling, and I believe in an integrated, person-centered approach to counseling, delivered in a safe and judgment-free environment.
(636) 251-4578 View (636) 251-4578
Photo of Melanie Henderson, Licensed Professional Counselor in Saint Peters, MO
Melanie Henderson
Licensed Professional Counselor, MA LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Depression, anxiety, anger, relationship struggles, and trauma effects everyone sometime in his/her life. It is important to have coping skills to battle these issues. I am passionate about seeing people not only enjoy life, but thrive to their fullest potential.
Depression, anxiety, anger, relationship struggles, and trauma effects everyone sometime in his/her life. It is important to have coping skills to battle these issues. I am passionate about seeing people not only enjoy life, but thrive to their fullest potential.
(636) 442-0239 View (636) 442-0239
Photo of Megan Helwig, Licensed Professional Counselor in Saint Peters, MO
Megan Helwig
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
(636) 452-5608 View (636) 452-5608
Photo of Katie Fischer, Licensed Professional Counselor in Saint Peters, MO
Katie Fischer
Licensed Professional Counselor, LPC, RPT
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Waitlist for new clients
Welcome! The fact that you have made your way here is HUGE! It means that you have taken the first step to seeking the help your child needs. Hello! My name is Katie Fischer and I am the owner of Stay & Play Counseling, LLC. I am a Licensed Professional Counselor and Registered Play Therapist who is passionate about using the power of play to help children through difficult times. I bring over 20 years of experience working with children to my private practice including many years of work in the school setting as an elementary school teacher and school counselor, as well as a therapist in an early childhood setting.
Welcome! The fact that you have made your way here is HUGE! It means that you have taken the first step to seeking the help your child needs. Hello! My name is Katie Fischer and I am the owner of Stay & Play Counseling, LLC. I am a Licensed Professional Counselor and Registered Play Therapist who is passionate about using the power of play to help children through difficult times. I bring over 20 years of experience working with children to my private practice including many years of work in the school setting as an elementary school teacher and school counselor, as well as a therapist in an early childhood setting.
(636) 245-0463 View (636) 245-0463
Photo of Traci Callahan, Licensed Professional Counselor in Saint Peters, MO
Traci Callahan
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
If Covid -19 is affecting you, please call to discuss options. I believe that every client should receive a non-biased and non-judgmental place when looking for treatment. Life throws us situations in which we must adapt, change our ways, or avoid. A change can be challenging. More importantly, being stuck is sometimes harmful. I am here to help you face these difficult situations. I work through an integrative healing process, providing unconditional acceptance and compassion for every individual. Your healthiness is my happiness. I love what I do!
If Covid -19 is affecting you, please call to discuss options. I believe that every client should receive a non-biased and non-judgmental place when looking for treatment. Life throws us situations in which we must adapt, change our ways, or avoid. A change can be challenging. More importantly, being stuck is sometimes harmful. I am here to help you face these difficult situations. I work through an integrative healing process, providing unconditional acceptance and compassion for every individual. Your healthiness is my happiness. I love what I do!
(636) 451-7109 View (636) 451-7109
Photo of Roxann Wombacher, Pre-Licensed Professional in Saint Peters, MO
Roxann Wombacher
Pre-Licensed Professional, MS, PLPC
Verified Verified
Saint Peters, MO 63376
Feeling like you’re battling the currents of life’s whirlwind, with thoughts swirling around like a stormy sea? Constantly juggling tasks but still feeling like you’re falling behind? Perhaps you’re navigating (un)diagnosed ADHD and feeling lost? Or maybe you’re dealing with the emotional rollercoaster of parenthood, with highs of joys and lows of exhaustion and self-doubt? Wondering if there will ever be a moment of peace amidst the chaos?
Feeling like you’re battling the currents of life’s whirlwind, with thoughts swirling around like a stormy sea? Constantly juggling tasks but still feeling like you’re falling behind? Perhaps you’re navigating (un)diagnosed ADHD and feeling lost? Or maybe you’re dealing with the emotional rollercoaster of parenthood, with highs of joys and lows of exhaustion and self-doubt? Wondering if there will ever be a moment of peace amidst the chaos?
(636) 422-6042 View (636) 422-6042
Photo of Janice Bushong, Licensed Professional Counselor in Saint Peters, MO
Janice Bushong
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
My name is Janice Bushong, I am a Licensed Professional counselor in the state of Missouri. I have a history of working in substance abuse, individual therapy, group therapy and couple's therapy. Types of clients I most typically work with are substance abuse, anxiety disorder, depression, anger management and bipolar disorder. I very much enjoy working with the addictive personality group of clients,
My name is Janice Bushong, I am a Licensed Professional counselor in the state of Missouri. I have a history of working in substance abuse, individual therapy, group therapy and couple's therapy. Types of clients I most typically work with are substance abuse, anxiety disorder, depression, anger management and bipolar disorder. I very much enjoy working with the addictive personality group of clients,
(636) 249-1760 View (636) 249-1760
Photo of Lauren A Hughes, Licensed Professional Counselor in Saint Peters, MO
Lauren A Hughes
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Saint Peters, MO 63304  (Online Only)
Not accepting new clients
We all struggle from time to time. Children in particular are learning every day how to pick up and carry on after they've faced something that really challenged them. But sometimes they get stuck and don't know what to do. Divorce, bullying, changing families, and so many other life changes that are out of our control can have a drastic impact. They can lead us to withdraw, fall behind in school, act out at home, or worse. Whatever the issues you and your family may have, I believe that sessions with me can help you and your family to figure out where you're stuck and what we can do to move forward.
We all struggle from time to time. Children in particular are learning every day how to pick up and carry on after they've faced something that really challenged them. But sometimes they get stuck and don't know what to do. Divorce, bullying, changing families, and so many other life changes that are out of our control can have a drastic impact. They can lead us to withdraw, fall behind in school, act out at home, or worse. Whatever the issues you and your family may have, I believe that sessions with me can help you and your family to figure out where you're stuck and what we can do to move forward.
(636) 317-5758 View (636) 317-5758

See more therapy options for Saint Peters

How does your Therapist compare?

Number of Therapists in Saint Peters, MO

100+

Average cost per session

$120

Therapists in Saint Peters, MO who prioritize treating:

91% Anxiety
86% Depression
71% Coping Skills
70% Relationship Issues
68% Grief
66% Self Esteem
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

83% UnitedHealthcare UHC | UBH
78% Aetna
78% Cigna and Evernorth

How Therapists in Saint Peters, MO see their clients

86% In Person and Online
14% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Peters?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.